You know to me this sounds like a case of milk oversupply, with the baby
getting lots of lactose rich milk early in the feed, and not getting to the
lower-lactose hind milk.  Mom mentions fussiness, green stools, spittiness,
occasional refusal to latch, and colic symptoms, as well as a baby growing
well, all indicative of milk oversupply, and lactose overload (as opposed to
lactose intolerance). It would come as no surprise to me that lactase drops
would relieve the symptoms of this.
I might advice this mom to begin nursing several feedings in a row on one
breast, (pumping on the other just for comfort),,,then switching breasts and
doing several feedings in a row on that side. This should help the baby get
less of a lactose load overall, and help manage the milk supply at the needed
level.
It does suprise me that it would still be going on with a baby this old, so I
may be offbase. I would wonder however if my suggestion had been tried.
June Eastman, IBCLC

<< Breastfeeding history of Andrea Floyd, son Matthew DOB 12-05-02

 Pregnancy
 I had spotting for 7 weeks and one large bleed at 12 weeks at which time I
 was advised to wean my 12 month old daughter.
 The rest of the pregnancy was uncomplicated
 Delivery
 5 hour labour, uncomplicated only required gas for pain relief
 The last stage was very quick and Matthew swallowed fluid during the
 delivery, yet he was not sucked out and didn't require any medical
 treatment at the time.
 He didn't take to the breast at the time despite numerous attempts, he was
 very unsettled and the staff kept relating this back to the fluids he
 swallowed.
 He remained unsettled until 1130pm that evening (13 hours after birth) had
 not yet taken to breast and really hadn't stopped crying.  At this time was
 it was suggested to give him some glycerin water and suck out his stomach,
 this was done and he settled and slept for about 6-7 hours.
 weight 3110gm

 Days 1-5 in hospital
 Remained very unsettled didn't really establish  good attachment at any
 feeds he would have most of his feeds via dropper between screaming
 episodes and probably
 have 2 or 3 attached feeds per day.
 I had a good milk supply yet nipples were grazed from the poor attachment
 and repeated poor feeds I started using a nipple shield.
 discharge weight 2850gms

 First week at home
 Matthew was more settled, only crying 3-4 hours per day and only feeding
 once overnight would not feed well if you tried to wake him only needing to
 be dropper fed 1-2 times per day.
 day 11 was 3100gms

 Second week at home
 Things started to deteriorate
 Unsettled - he would cry 7-8 continuously and exhaust himself and sleep for
 3-4 - hours, he would whimper in his sleep and toss his head from side to
 side.
 - cry to the point his clothes were saturated with perspiration
 - by placing your hand in the middle of his back you could feel his
 bowel racing around and hear it "grumbling"
 - never smiled always had a frown expression on his face.
 - never able to be put down.
 Nappies - explosive actions
 - green colour watery consistency with "grainy thready" material
 through it
 - smelt like acid or ammonia very offensive
 - bottom was red and needed protective cream every change
 - 10-12 changes per day with large amounts of stool every change
 - large amounts of wind

 Attachment problems
 - would scream but suck or grind on his dummy
 - offer breast he would suck- push away, arch his back scratch at my
 breast and try and move his head from side to side
 - I would have to forcible hold his head at the breast
 - milk supply very large, milk would run onto his face he would have
 3-4 good sucks and pull away again.
 - 1- 11/2 hour to feed every feed.
 Vomiting
 - every feed he would bring up a lot of milk
 - he vomited a lot between feeds
 - at least on feed per day was extremely forceful and large where it
 would saturate both of us and go all over the floor

 <snip for brevity>

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